| Entity Name: | ALAN H. BROADBENT, D.M.D., LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 14 Mar 1986 |
| Date of Dissolution: | 12 Aug 2011 |
| Company Number: | CORP_54170289 |
| File Number: | 54170289 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 12 Aug 2011 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALAN H. BROADBENT, D.M.D., LTD. PROFIT SHARING PLAN | 2010 | 371194481 | 2011-05-12 | ALAN H. BROADBENT, D.M.D., LTD. | 8 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 371194481 |
| Plan administrator’s name | ALAN H. BROADBENT, D.M.D., LTD. |
| Plan administrator’s address | 303 BURWASH DRIVE, SAVOY, IL, 618749512 |
| Administrator’s telephone number | 2173569855 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-12 |
| Name of individual signing | ALAN H. BROADBENT, D.M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-05-12 |
| Name of individual signing | ALAN H. BROADBENT, D.M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1986-04-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2173569855 |
| Plan sponsor’s address | 303 BURWASH DRIVE, SAVOY, IL, 618749512 |
Plan administrator’s name and address
| Administrator’s EIN | 371194481 |
| Plan administrator’s name | ALAN H. BROADBENT, D.M.D., LTD. |
| Plan administrator’s address | 303 BURWASH DRIVE, SAVOY, IL, 618749512 |
| Administrator’s telephone number | 2173569855 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-20 |
| Name of individual signing | ALAN H. BROADBENT, D.M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-20 |
| Name of individual signing | ALAN H. BROADBENT, D.M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ALAN H BROADBENT, 303 BURWASH AVE, SAVOY, 61874, CHAMPAIGN | Agent | 1988-02-08 |
| Name and Address | Role |
|---|---|
| ALAN H BROADBENT, 303 BURWASH AVENUE SAVOY 61874 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 500 | 100000 | No data |
Date of last update: 23 Dec 2024
